Organization
AMY FUNDERBURK, MD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AMY E FUNDERBURK MD (OWNER)
(901) 767-3157
Entity
Organization
Contact information
Practice address
1282 UNION AVE, MEMPHIS, TN 38104-3414
(901) 761-6157
(901) 761-6145
Mailing address
PO BOX 770390, MEMPHIS, TN 38177-0390
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MD31772
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3843367
—
TN
Enumeration date
07/29/2008
Last updated
11/07/2023
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